NPI | 1770930448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018601) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician | |
247200000X Technician, Other | |
Enumeration Date | 2016-05-23 |
Last Update Date | 2022-03-15 |