| NPI | 1962446831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN771) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16109) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-08-21 |