| NPI | 1316294259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1052) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18362) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2024-05-22 |