| NPI | 1760553705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: DC MD40229) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35088800) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-03-05 |