| NPI | 1912300922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: CA 347005264) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 00648092) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-10-04 |