| NPI | 1932840246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA 1401190929) |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2022-04-02 |