| NPI | 1760138549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1466) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15962-I) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2026-06-22 |