| NPI | 1811086879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: NJ 25MB04105500) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MB04105500) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-09 |