| NPI | 1912445982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11036468) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2025-12-29 |