| NPI | 1174542583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 34205) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-09-17 |