NPI | 1114773496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171000000X Military Health Care Provider (Licence: OH TC556256) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH TC556256) |
Enumeration Date | 2024-04-26 |
Last Update Date | 2024-04-26 |