| NPI | 1033552823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00035154) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD00035154) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |