| NPI | 1275846255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374K00000X Religious Nonmedical Practitioner |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2012-09-25 |