| NPI | 1386860344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1286) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 13224) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-10-26 |