| NPI | 1689392938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1511) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22932) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2026-02-18 |