| NPI | 1003896556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-2863) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP03513) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-04 |