NPI | 1871215137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 23066) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN1509) |
Enumeration Date | 2022-09-14 |
Last Update Date | 2024-10-04 |