| NPI | 1639270549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1455) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16444) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-02-04 |