| NPI | 1730307950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A54772) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WA MD00038954) |
| 208D00000X General Practice (Licence: WA MD00038954) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-05-24 |