NPI | 1942361332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A40248) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A40248) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2010-07-13 |