| NPI | 1396921409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: OH CTP 01908 RX) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital Children (Licence: OH RN 204004) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |