| NPI | 1649572249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN476) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17887) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2023-05-30 |