NPI | 1861105116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider (Licence: CA 199053) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2023-01-03 |
Last Update Date | 2024-09-16 |