NPI | 1801887518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN522) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 14989) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2014-02-27 |