| NPI | 1356714661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN881) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19228) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2023-10-10 |