| NPI | 1538561543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1379) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22496) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-04-17 |