| NPI | 1295889368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1071) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 014651) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-03-07 |