| NPI | 1407181027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |