| NPI | 1720569858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 323472-31) |
| 251J00000X Nursing Care | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-10-20 |