| NPI | 1184935900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16962) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN 345) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-04-09 |