NPI | 1497250211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: IN 01082800A) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IN 01082800A) |
Enumeration Date | 2018-03-25 |
Last Update Date | 2021-09-29 |