| NPI | 1992782411 |
|---|---|
| Former Name | THERESA B. MCFALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101230488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101230488) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101230488) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2017-06-01 |