| NPI | 1003946484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN982) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 14418) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-01-14 |