| NPI | 1982773560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A41650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A41650) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A41650) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-03-07 |