| NPI | 1508833104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN880) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 8391) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2023-03-07 |