| NPI | 1285775437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A73468) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A73468) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2015-05-21 |