NPI | 1881254878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95031611) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-06-20 |
Last Update Date | 2024-12-14 |