| NPI | 1851097893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA ML.61395988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML.61395988) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |