| NPI | 1679901862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: KS 200713460A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-44466-101) |
| 251C00000X (Licence: KS 200713460A) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KS 200713460A) | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |