| NPI | 1881843860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ACN483) |
| 208D00000X General Practice (Licence: PR 17316) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2023-06-02 |