| NPI | 1568580553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN780) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15200) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-04-02 |