NPI | 1205026291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 16752) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN717) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2024-02-21 |