| NPI | 1508308826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CO 0012471) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CO 0012471) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CO 0012471) | |
| 314000000X Skilled Nursing Facility (Licence: CO 0012471) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |