| NPI | 1033688957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-65375) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2019-01-04 |