NPI | 1417103359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G199575) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04536800) |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA04536800) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2025-01-13 |