| NPI | 1366813933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN989) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19198) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2022-07-14 |