| NPI | 1578773271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN781) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15781) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-05-21 |