| NPI | 1952567216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN410) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17254) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-03-27 |