| NPI | 1003576703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |