NPI | 1639140585 |
---|---|
Former Name | KAREN L VANBUREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 19052) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN 019052) |
208D00000X General Practice (Licence: TN 019052) | |
Enumeration Date | 2006-01-30 |
Last Update Date | 2015-10-07 |