| 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 |