| NPI | 1609434752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023243) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-12-28 |