| NPI | 1801339940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9365072) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: FL RN9365072) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |