| NPI | 1376953836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME151947) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18922) |
| 208D00000X General Practice (Licence: FL ACN694) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-05-31 |