| NPI | 1730365040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: WV 1353) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: MD 04738) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: PA 0L008325) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |