NPI | 1952925307 |
---|---|
Former Name | SUSAN ROSS HANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VI 0101233199) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2020-06-02 |