| NPI | 1942303995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1048) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 15295) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-03-21 |