| NPI | 1780812081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT196032) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2015-06-16 |