| NPI | 1649370636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CT 000213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 000213) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-10-08 |