| NPI | 1396071411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A050228) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A050228) |
| 208D00000X General Practice (Licence: CA A050228) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |