Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34-005031 | OH |
N | 111NI0900X | Internist | 34-005031 | OH |
N | 207RC0200X | Critical Care Medicine | 34-005031 | OH |
Y | 207RP1001X | Pulmonary Disease | 34-005031 | OH |
NPI | 1033177993 |
---|---|
Provider Name | Elsira Marina Pina |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219-4231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 22/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200201280 | (05) | IN |
2074786 | (05) | OH |
4047836 | (05) | TN |
64960909 | (05) | KY |
G75021 | (02) |