| NPI | 1164554234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL 012017) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NC FCL 012026) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-06-16 |