NPI | 1649708629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 208800000X Urology (Licence: VA 0101280573) |
208D00000X General Practice (Licence: CO DR.0061390) | |
Enumeration Date | 2017-06-02 |
Last Update Date | 2024-03-05 |