| NPI | 1902323470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28981) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 163W00000X Registered Nurse (Licence: HI RN99696) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN4340) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2024-07-10 |