| NPI | 1891177432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 021637) |
| 207R00000X Internal Medicine (Licence: FL ACN1312) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-04-24 |