| NPI | 1275979544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 19978) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN1076) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-07-23 |