| NPI | 1235162140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN 470) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 13152) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-12-30 |