| NPI | 1033315114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MA 269979) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NC 2013-01791) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 2756368) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A121725) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-04-02 |