| NPI | 1942711445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008286) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-04-10 |