| NPI | 1801887518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN522) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14989) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-02-27 |