| NPI | 1023544301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 879051) |
| 106E00000X Assistant Behavior Analyst (Licence: NV rn78359) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2025-11-21 |