| NPI | 1609922392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 001012402) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 001012401) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |