NPI | 1699274035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1080) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 019845) |
Enumeration Date | 2018-02-11 |
Last Update Date | 2024-10-17 |