| NPI | 1073174496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1303) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21359) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-01-11 |