| NPI | 1740545201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME134772) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN463) |
| 208D00000X General Practice (Licence: PR 18486) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-10-02 |