| NPI | 1649650839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9281220) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2026-02-20 |