| NPI | 1841376902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN787) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14281) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-04-06 |