NPI | 1679663413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: WA MD0003235) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 73124) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-09-28 |