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Individual
EVA NOTIS
Active
Individual
EVA NOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS023011
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OS023011
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
OT020383
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
08/05/2025
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