| NPI | 1609040229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN895) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17095) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2024-05-07 |