| NPI | 1346514072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017169) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2025-03-17 |