| NPI | 1104026608 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA08003600) | 
| Enumeration Date | 2007-07-23 | 
| Last Update Date | 2019-07-11 |