NPI | 1710045893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CA a89907) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA a89907) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2011-03-08 |