| NPI | 1285425413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ AL12430H) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AZ AL12430H) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |