| NPI | 1558650820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN386) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PR 17992) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-05-23 |