| NPI | 1841755857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 6906552) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-04-02 |