NPI | 1679168488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 208D00000X General Practice (Licence: ID M-16620) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2024-06-13 |