| NPI | 1326726696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1538) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PR 023115) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-24 |