| NPI | 1245737758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1362) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21454) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-11-01 |