| NPI | 1720675333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28226793A) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |