NPI | 1720582448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0063023) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: CO DR.0063023) |
2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CO DR.0063023) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0063023) | |
Enumeration Date | 2018-03-19 |
Last Update Date | 2025-06-26 |