| NPI | 1184783086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G078243) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G78243) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CA G078243) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-04-19 |