| NPI | 1073553079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 246696) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD421736) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2009-02-10 |