| NPI | 1679678452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G067458) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: CA G067458) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |