| NPI | 1770647190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN 225) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15577) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-10-10 |