NPI | 1578605937 |
---|---|
Former Name | MARGARET ROSE WELLS DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TX G2625) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |