| NPI | 1902281884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: FL AL12659) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL AL12659) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |