| NPI | 1396109120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11023720) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 163W00000X Registered Nurse (Licence: TX 1002865) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-04-06 |