NPI | 1497032080 |
---|---|
Former Name | MARY ALICE NESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: TX P0536) |
Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: MD D34341) |
2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NV 11707) | |
Enumeration Date | 2011-11-09 |
Last Update Date | 2011-11-09 |