| NPI | 1003305434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186998) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001319316) |
| 163W00000X Registered Nurse (Licence: HI RN88188) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2383) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-04-25 |