NPI | 1982110276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1437) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 19822) |
Enumeration Date | 2017-12-21 |
Last Update Date | 2022-11-21 |