| NPI | 1417789298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0019925) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WI 0019935) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |