| NPI | 1528728086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 39818) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MN 10512543) |
| Enumeration Date | 2021-12-26 |
| Last Update Date | 2023-01-31 |