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 |