| NPI | 1891010716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN823) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17,653) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2018-03-17 |