| NPI | 1194999813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN866) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16204) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2022-07-11 |