| NPI | 1871877068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 28577R) |
| Additional Taxonomies | 281PC2000X Chronic Disease Hospital, Children (Licence: PR 20641) |
| 282NC2000X General Acute Care Hospital, Children (Licence: PR 20641) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2013-05-15 |