| NPI | 1114065919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD049135L) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MA 55511) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-09-30 |