| NPI | 1346947488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 0019338) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-10-25 |