| NPI | 1386170249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022457) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9525059) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-12-20 |