| NPI | 1912294422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61110418) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD61110418) |
| 208600000X Surgery (Licence: OR MD187749) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-09-27 |