| NPI | 1215603501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1635) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 15927-I) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-07-17 |