| NPI | 1427291517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN 861) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17184) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2016-11-06 |