NPI | 1407555923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0073855) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2023-02-23 |
Last Update Date | 2024-07-22 |