| NPI | 1922576347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: FL RN9222089) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9222089) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |