| NPI | 1538679378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: FL 151134962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN33667152) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |