| NPI | 1487006201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033737) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2026-01-29 |