| NPI | 1932216496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN699) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 13686) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-08-10 |