NPI | 1427151356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME155550) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 13196) |
208D00000X General Practice (Licence: FL ACN443) | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2025-07-28 |