| NPI | 1891891537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A50085) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A50085) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-06-12 |