| NPI | 1740378132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA NT00000729) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA NT00000729) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-11-28 |