| NPI | 1023459252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 0002074628) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: VA 0001218138) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |