| NPI | 1164154183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1450) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22716) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-09-03 |