| NPI | 1184166779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1676) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 023999) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2025-03-18 |