NPI | 1437134657 |
---|---|
Former Name | KAREN GAIL SMALLWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OK 18688) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MO 118336) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2007-07-11 |