Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | Q5606 | TX |
NPI | 1003103235 |
---|---|
Provider Name | Sarah Wilkinson |
First Address | San Diego, CA 92103-1911 |
Second Address | San Diego, CA 92103-1911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2011 |
Last Update Date | 09/11/2015 |