| NPI | 1467715458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: HI 6517) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI 6517) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |