| NPI | 1891882106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MD.61374590) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT 7765) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2025-04-22 |