| NPI | 1295468262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1550) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23374) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-08-16 |