| NPI | 1528285954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1592) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16286) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-01-19 |