| NPI | 1841879772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA 61007532) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: WA 61007532) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |