| NPI | 1679324164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 227048) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |