| NPI | 1336469519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 5770) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 5770) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |