| NPI | 1295746915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G68181) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA g68181) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-06-17 |