| NPI | 1366050361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1344) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15150) |
| 208D00000X General Practice (Licence: PR 21972) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2024-08-14 |