| NPI | 1124005723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3187712) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2017-03-22 |