| NPI | 1063435592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN456) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14205) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-02-01 |