| NPI | 1467643049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 03AL0834) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 30AL2941) |
| 310400000X Assisted Living Facility (Licence: MD 03AL0888) | |
| 310400000X Assisted Living Facility (Licence: MD 03AL0973) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |