| NPI | 1851789192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN828) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18967) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2022-09-09 |