| NPI | 1215680459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1517) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 023132) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2026-04-13 |