| NPI | 1093066979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 98000497A) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IN 244941) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |