| NPI | 1952937658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 342700506) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 783011) |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2020-03-14 |