| NPI | 1083023576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH sp-1856) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH sp-1856) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |