| NPI | 1144491010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 17013) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN956) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2025-12-02 |