| NPI | 1306514211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500125701) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-07-07 |