| NPI | 1902465644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: NV 59AGC22) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: NV 4937AGC11) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: NV 6083AGC6) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |