| NPI | 1821595885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61465227) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP61465227) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-09-30 |