| NPI | 1518498385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 070017078) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 070017078) |
| 273Y00000X Rehabilitation Unit (Licence: IL 070017078) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |