| NPI | 1306733373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1745) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 24482) |
| Enumeration Date | 2025-06-21 |
| Last Update Date | 2025-09-12 |