NPI | 1275795270 |
---|---|
Former Name | HATTIE MCAVINEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 705) |
Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: NE 705) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2023-08-21 |