| NPI | 1679269088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: PA RN769292) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: PA RN769292) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |