| NPI | 1558502955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN908) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17512) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2026-03-18 |