| NPI | 1700160694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS30747) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2024-12-09 |