| 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 |