| NPI | 1932395050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA OP60159902) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL20000128) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2012-06-19 |