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 |