| NPI | 1134419963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 52086) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2015-08-06 |