| NPI | 1477345460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC 1061147) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: DC 1061147) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC 1061147) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: DC 1061147) | |
| 314000000X Skilled Nursing Facility (Licence: DC 1061147) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: DC 1061147) | |
| 251J00000X Nursing Care (Licence: DC 1061147) | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |