| NPI | 1164462628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN334) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15482) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-06-15 |