NPI | 1851401301 |
---|---|
Former Name | JANA GORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 1984) |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL OS9024) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2022-01-21 |