| NPI | 1902490097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 230357) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-04-30 |