| NPI | 1922006972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA MD00025862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 25862) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2010-06-21 |