NPI | 1841711652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9483647) |
Additional Taxonomies | 106S00000X Behavior Technician |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010172) | |
Enumeration Date | 2017-06-30 |
Last Update Date | 2025-03-28 |