| NPI | 1558887612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1572) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19772) |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2024-03-12 |