| NPI | 1992817548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN900) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 013678) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-04-05 |