| 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 |