| NPI | 1902139587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN464) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17647) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2023-06-05 |