NPI | 1043669666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263080) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2016-06-04 |
Last Update Date | 2024-04-08 |