| NPI | 1215457577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11029191) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-10-19 |