| NPI | 1417555970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1352) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 022051) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-08-03 |