| NPI | 1386298735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13378) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-12-28 |