| NPI | 1023409984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1565) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19121) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2024-04-26 |