NPI | 1275166597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 843230) |
Additional Taxonomies | 103K00000X Behavior Analyst |
246Z00000X Specialist/Technologist, Other | |
Enumeration Date | 2020-02-14 |
Last Update Date | 2024-07-04 |