| NPI | 1972168938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019009322) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-06-14 |