| NPI | 1104882133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN593) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15044) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-08-18 |