| NPI | 1306817101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1082) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14856) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-06-02 |