NPI | 1942372784 |
---|---|
Former Name | CAROL JUNE GORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G81953) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-08 |