| NPI | 1194858332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: AK #8042) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: AK 100399) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-06-13 |