| NPI | 1295991594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: VA 0119004710) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: VA 2305205443) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |