NPI | 1407029903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202D00000X Integrative Medicine (Licence: WA OP00001238) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00001238) |
208D00000X General Practice (Licence: WA OP00001238) | |
Enumeration Date | 2008-04-07 |
Last Update Date | 2022-12-06 |