| NPI | 1043674880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1185) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 81821) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-09-14 |