NPI | 1053945873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider (Licence: VA 0102206814) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2020-03-02 |
Last Update Date | 2024-10-15 |