| NPI | 1265839781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN803) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18958) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2019-09-24 |