NPI | 1124216460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: MI L416339004027) |
Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: MI L416339004027) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2007-10-11 |