NPI | 1003081423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 181159) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NJ 25MA05412700) |
Enumeration Date | 2008-04-26 |
Last Update Date | 2017-04-24 |