| NPI | 1992120497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN627) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18658) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2023-05-22 |