| NPI | 1568597391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: TX 119544) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-11-12 |