NPI | 1649874868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN1318) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9264333) |
207Q00000X Family Medicine (Licence: PR 022102) | |
Enumeration Date | 2020-11-29 |
Last Update Date | 2022-09-06 |