| NPI | 1962408666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN902) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15801) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2025-11-12 |