| NPI | 1558907691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 21598) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN1605) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-02-22 |