| NPI | 1770991341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1778) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18795) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2025-12-19 |