| NPI | 1366969610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12963) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |