| NPI | 1396878880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 224) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AK 100608) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-08-31 |