| NPI | 1326334491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081H0002X (Licence: WA MD60650131) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA 60650131) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R - 9301) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2020-12-02 |