| NPI | 1396384582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1230) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 021561) |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-02-19 |