| NPI | 1134813322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 23672) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN1618) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-04-10 |