| NPI | 1780780841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN441) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16599) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-08-13 |