| NPI | 1508165077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NW0100X General Acute Care Hospital, Women (Licence: CA 13142) |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: CA 13142) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |