| NPI | 1669913497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: VA 0101265171) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-02-23 |