| NPI | 1952932865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1339) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22179) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2024-03-05 |