| NPI | 1255589990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 8343) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA 3393) |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-09-06 |