| NPI | 1518361377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN763) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18918) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2018-09-14 |