| NPI | 1770744310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 208501) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: WA RN00142055) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |