| NPI | 1386601284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1091) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 13786) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-11-21 |