NPI | 1639488497 |
---|---|
Former Name | STASIA MARIE BOCHNOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MA NM080304A) |
Enumeration Date | 2010-09-28 |
Last Update Date | 2010-09-28 |