| NPI | 1013493279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021030) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 163W00000X Registered Nurse (Licence: CA 95223458) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-05-20 |