| NPI | 1437256211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A34863) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A34863) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-07-23 |