| NPI | 1497859722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN592) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15443) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2025-04-25 |