| NPI | 1386306264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 872104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95336499) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-05-01 |