| NPI | 1043704919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1096) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21030) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-10-15 |