| NPI | 1902931363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN315) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15961) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-02-08 |