| NPI | 1023209251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1029) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16793) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-05-31 |