| NPI | 1518468602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A25388) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2026-07-16 |