| NPI | 1023494739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: IA MD-52563) |
| Additional Taxonomies | 2085R0001X (Licence: FL ME166950) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2025-03-12 |