| NPI | 1760233217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 274771) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |