| NPI | 1124660741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 310400000X Assisted Living Facility | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |