| NPI | 1487259693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1713) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 24206) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2026-04-13 |