| NPI | 1174718894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 245767) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 245767) |
| 282NR1301X General Acute Care Hospital, Rural (Licence: NY 245767) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |