| NPI | 1427450493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1105522) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-12-21 |