| NPI | 1942437298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 3376) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OR PT 3376) |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2009-06-14 |