Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0101261693 | VA |
NPI | 1003080193 |
---|---|
Provider Name | Margaret K. Sande |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 13/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101261693 | (05) | VA |