| NPI | 1821046285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN896) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14334) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-03-23 |