| NPI | 1497107601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MO 2016007717) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MO 2016007717) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |