| NPI | 1699931253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102202484) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-10-17 |