| NPI | 1730243437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102289) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-12-21 |