| NPI | 1740428424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN544) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17276) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2024-09-09 |