NPI | 1609040229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN895) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 17095) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2024-05-07 |