NPI | 1053483180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI RN46612) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN -961) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2009-12-31 |