| NPI | 1821731126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1494) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22982) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-11-10 |