| NPI | 1700111614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN784) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17491) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2023-07-12 |