NPI | 1962775890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians |
Additional Taxonomies | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians (Licence: 1962775890) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2023-08-01 |