| NPI | 1891066676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2023-07-27 |