| NPI | 1306095104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENELOPE FRANKLIN GORSUCH Nurse Practitioner 043-430-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: GA 089304) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |