| NPI | 1346891488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: NC 2829) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: PA NH007699) |
| 376K00000X Nurse's Aide (Licence: NC 465754) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |