| NPI | 1871355578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 875417) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |