| NPI | 1376184861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036046) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2026-02-13 |