| NPI | 1528120243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 17-02081) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: KS 17-02081) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2012-11-06 |