| NPI | 1598191868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8472) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL AL8472) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2016-03-23 |