| NPI | 1215306139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-22 |