| NPI | 1952553893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN333) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17358) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2011-07-18 |