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 |