| 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 |