| NPI | 1609226273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 39275) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NC 11020) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |