| NPI | 1205064094 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: PA NH005005L) | 
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NJ 1610) | 
| Enumeration Date | 2009-06-30 | 
| Last Update Date | 2009-06-30 |