| NPI | 1043637317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 191221801) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: CA 191221549) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |