| NPI | 1689004541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12436) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL 9191947) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |