| NPI | 1518364140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA 603 446 450) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: WA 603 446 450) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |