| NPI | 1477863025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN647) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18042) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2025-08-21 |