| NPI | 1932313715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1298) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 15464) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-03-07 |