| NPI | 1104002401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WV 1150) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD 02018) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |