| NPI | 1821044389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A54127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A54127) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-05-01 |