Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | A136865 | CA |
Y | 2086S0127X | Trauma Surgeon | A136865 | CA |
NPI | 1366761595 |
---|---|
Provider Name | Michelle Grace Hamel |
First Address | San Diego, CA 92123-2739 |
Second Address | San Diego, CA 92123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2010 |
Last Update Date | 16/05/2018 |