| NPI | 1942440748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN620) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17431) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2018-07-16 |