| NPI | 1871534313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1177) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14147) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-06-10 |