| NPI | 1194782821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1027) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 8323) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2026-07-07 |