| NPI | 1003979006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN480) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14424) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-01-25 |