| NPI | 1902475288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 22443) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-07-24 |