NPI | 1306188966 |
---|---|
Former Name | SALLY CHARLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NE 28152) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 28152) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2024-09-03 |