NPI | 1225224470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: WA MD 60102456) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60102456) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2025-08-22 |