| NPI | 1063380616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 102074) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: AK 102074) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |