NPI | 1063111391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3777) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-106817) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-05-22 |