| NPI | 1912401266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22824) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN1594) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-06-18 |