| NPI | 1699036475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 0173491) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: NY 0173491) |
| 282N00000X General Acute Care Hospital (Licence: PA OCO11922) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |