| NPI | 1053166421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 870602) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |