| NPI | 1659750727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: FL NH4902) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA313966) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-08-10 |