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 |