| NPI | 1841907508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MT 0000000023) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MT 000000023) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |