| NPI | 1194793927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN834) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16323) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2021-12-14 |