NPI | 1275003790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-334407) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11000305) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11000305) | |
Enumeration Date | 2018-11-27 |
Last Update Date | 2024-11-27 |