| 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 |