| NPI | 1427709054 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: GA RN29755) | 
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: GA NHA004969) | 
| Enumeration Date | 2022-01-14 | 
| Last Update Date | 2022-01-14 |