| NPI | 1144938952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1661) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23997) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-10-08 |