| NPI | 1437965696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 327156-31) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-07-07 |