| NPI | 1942452628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN737) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17350) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2023-05-31 |