NPI | 1679791115 |
---|---|
Former Name | JOANNA LAUREN GREENBLATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 9616) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL OS9616) |
Enumeration Date | 2007-04-22 |
Last Update Date | 2025-03-23 |