| NPI | 1003692583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4955) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: FL 9568987) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: HI RN-122622) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-01-22 |