| NPI | 1982308730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN1595) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23523) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-04-02 |