NPI | 1962238154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2024-09-12 |
Last Update Date | 2024-09-12 |