| NPI | 1508425117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022775) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-02-01 |