| NPI | 1265752000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN 344) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 53509-020) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2020-02-28 |