| NPI | 1285265215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA 237243) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2022-10-22 |