| NPI | 1477746188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: OK 972) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OK 972) |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2007-08-26 |