| NPI | 1962022152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1425) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21878) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2026-02-17 |