NPI | 1104063023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN885) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 17440) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2023-03-07 |