| NPI | 1376720862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025141) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2023-09-15 |