| NPI | 1992158356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0042424) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 1694647) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |