| NPI | 1164495768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN 409) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16255) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2025-11-17 |