| NPI | 1538760228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: UT 18004622123) |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2020-11-08 |