| NPI | 1316999378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1258) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16398) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-03-01 |