| NPI | 1366796468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL A9211) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL CNA82954) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2022-09-15 |