| NPI | 1689098527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME137603) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN569) |
| 208D00000X General Practice (Licence: PR 18593) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2023-03-07 |