NPI | 1235832460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102208866) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2023-03-27 |
Last Update Date | 2024-09-22 |