| NPI | 1518153881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: IL 036128603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A100942) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2012-05-01 |