| NPI | 1548736432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9442940) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-08-19 |