| NPI | 1073382206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 075600201) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 071440636) |
| 310400000X Assisted Living Facility (Licence: CA 075601014) | |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |