| NPI | 1033489042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1014) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18379) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2021-05-24 |