| NPI | 1174842421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN910) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17923) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2021-05-19 |