| NPI | 1316208853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: UT 2011-ALI-14508) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |