| NPI | 1457854754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101267983) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 61249276) |
| 207P00000X Emergency Medicine (Licence: WA MD61249276) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-01-31 |