NPI | 1699141499 |
---|---|
Former Name | ALYSIA DAYLE MUNNEKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: SD CNP000976) |
Enumeration Date | 2015-08-15 |
Last Update Date | 2015-08-15 |