| NPI | 1063443612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN 448) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15632) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-03-07 |