| NPI | 1669427308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NY 271328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME81917) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL 271328-1) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-06-15 |