| NPI | 1881865566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2014-02407) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: 390200000X) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2015-01-13 |