NPI | 1326019472 |
---|---|
Former Name | AMANDA DARE DURIGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: OH 35.127648) |
Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: NY 260508-1) |
2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: OH 35.127648) | |
2083X0100X Preventive Medicine Occupational Medicine (Licence: KS 04-39461) | |
208D00000X General Practice (Licence: DE C1-0007340) | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2019-09-16 |