| NPI | 1972558005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP00002023) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA op00002023) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-12-13 |