| NPI | 1275080483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider (Licence: FL 6906877) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: FL 6906877) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-04-21 |