| NPI | 1427321652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 5022) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TN 5022) |
| Enumeration Date | 2012-02-19 |
| Last Update Date | 2012-02-19 |