| NPI | 1093827644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1319) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16135) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-05-30 |