| NPI | 1245230259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN703) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: PR 9757) |
| 208D00000X General Practice (Licence: PR 9757) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2021-06-25 |