| NPI | 1184442063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MDCE.ML.61604234) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA MDCE.ML.61604234) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-04-08 |