| NPI | 1376708495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY R0194) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IN 31003093A) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |