| NPI | 1649421058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN328) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17334) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2019-11-20 |