| 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 |