| NPI | 1184663783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR E1539) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E1539) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: AR E1539) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AR E1539) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-05-02 |