| NPI | 1699274035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1080) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 019845) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2024-10-17 |