| NPI | 1740319714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 100525) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: AK 9466) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |