| NPI | 1740407436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA OP00002273) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WA OP00002273) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2022-07-21 |