| NPI | 1033133806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ACN492) |
| 208D00000X General Practice (Licence: PR 14568) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-04-17 |