NPI | 1376265314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN088169) |
Additional Taxonomies | 208D00000X General Practice (Licence: GA RN088169) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2024-09-14 |