| NPI | 1558524728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 17180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ACN402) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2015-04-05 |