| NPI | 1194167429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN.#545152) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 374601975) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |