| NPI | 1619039971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA04036200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04036200) |
| 207R00000X Internal Medicine (Licence: PA MD046205L) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: PA MD046205L) | |
| 207R00000X Internal Medicine (Licence: DE C1-0004751) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: DE C1-0004751) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-11 |