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 |