| NPI | 1740432517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI 01638) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MA 15324) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |