| NPI | 1881998722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL PN1270731) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: FL PN1270731) |
| 385H00000X Respite Care (Licence: FL PN1270731) | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |