| NPI | 1619133782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1222) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17243) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2023-06-01 |