NPI | 1578296844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL 1571) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 023427) |
Enumeration Date | 2022-07-05 |
Last Update Date | 2024-06-14 |