| NPI | 1972797348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ACN897) |
| 207Q00000X Family Medicine (Licence: PR 7586) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PR MPH) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-03-07 |