| NPI | 1518260454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN802) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18799) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2018-03-23 |