| NPI | 1740584457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NY 273516) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 273516) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NJ 25MA09200600) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NJ 25MA09200600) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2017-01-20 |