| NPI | 1023232303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-01-26 |