| NPI | 1245264027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1529) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15020) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-02-05 |