| NPI | 1457334757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN960) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16166) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2024-08-27 |