| NPI | 1699939348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 245693) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: KY 41005) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2016-08-31 |