| NPI | 1538295431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN857) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16700) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-12-14 |