| NPI | 1225542392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9488150) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-03-14 |