| NPI | 1861250797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 172A00000X Driver |
| 174200000X Meals | |
| 175L00000X Homeopath | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |