NPI | 1528431970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA 637370) |
Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: CA BL10120567) |
310400000X Assisted Living Facility | |
315P00000X Intermediate Care Facility, Intellectual Disabilities | |
Enumeration Date | 2015-11-06 |
Last Update Date | 2023-03-10 |