NPI | 1588959019 |
---|---|
Former Name | SARAH C GODWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101252355) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL 30482) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2020-06-11 |