| NPI | 1558518506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY R1892) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KY A00423) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |