| NPI | 1457162034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 332789064) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2026-06-08 |