Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 44672-020 | WI |
NPI | 1043308083 |
---|---|
Provider Name | Ms. Rosa Elizabeth Turcios |
First Address | Marshfield, WI 54449-1751 |
Second Address | Kansas City, MO 64132-1132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 20/04/2017 |