| NPI | 1497900260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA AT3119) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA AT 3119) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |