| NPI | 1609089028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: VA 2305203070) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-03-18 |