| NPI | 1275885998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1043) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 020003) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2023-05-30 |