| NPI | 1134879588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |