| 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 |