| NPI | 1225368111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN 762) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17805) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2016-02-01 |