| NPI | 1386457976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0040132) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DE L1-0040132) |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: DE 2025701170) | |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-06-06 |