| NPI | 1235668989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9267398) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2018-06-26 |