| NPI | 1316106826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA 2306601952) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: VA 2306601952) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |