| NPI | 1215285390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 39430) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: WI 11948-24) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2021-10-11 |