NPI | 1962857540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11024379) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-05-02 |
Last Update Date | 2023-10-05 |