| NPI | 1679557912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN634) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 13203) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2022-03-03 |