| NPI | 1447823943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1369) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22457) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2025-07-03 |