| NPI | 1891449922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1557) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23170) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-08-21 |