| NPI | 1548790413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1149) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14284-I) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-05-17 |