| NPI | 1164707105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: UT 7152628-1205) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |