| NPI | 1194214569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN685270) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-03 |