| NPI | 1689202319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 751770) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-03-03 |