| NPI | 1295134476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 2306602942) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD A2433) |
| 314000000X Skilled Nursing Facility (Licence: PA TE1003227) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |