| NPI | 1972151876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1270) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 021467) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2021-03-30 |