NPI | 1023544301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 879051) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: NV rn78359) |
Enumeration Date | 2017-05-05 |
Last Update Date | 2024-06-12 |