NPI | 1699539502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OL61573548) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-07-24 |