| NPI | 1396298709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1493) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19383) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-06-04 |