| NPI | 1205804259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN867) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14341) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-06-14 |