| NPI | 1407745607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR12599800) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NJ 26NR12599800) |
| 163WH0200X Registered Nurse, Home Health (Licence: NJ 26NR12599800) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-21 |