NPI | 1851946420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 21992) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 15171-I) |
Enumeration Date | 2019-08-09 |
Last Update Date | 2023-05-21 |