| NPI | 1972714855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN401) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ACN401) |
| 208D00000X General Practice (Licence: PR 14619) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-06-06 |