| NPI | 1801052485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1271) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17,256) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-07-12 |