| NPI | 1780040980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN892) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 019181) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2018-05-04 |