| NPI | 1619959988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: MA 44882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 5838) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-10-01 |