| NPI | 1780768978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN430) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14442) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-03-07 |