| NPI | 1982110276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1437) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 19822) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-11-21 |