NPI | 1689675886 |
---|---|
Former Name | EUGENIE HALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX H4929) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H4929) |
207R00000X Internal Medicine (Licence: IL 036053569) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2008-04-25 |