NPI | 1306817101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1082) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 14856) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2023-06-02 |