| NPI | 1316550163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1391) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14602-I) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2025-06-24 |