| NPI | 1346274982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN698) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15274) |
| 261QH0100X Clinic/Center, Health Services (Licence: PR 15274) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-03-19 |