| NPI | 1063159432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3637-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60241033) |
| 163W00000X Registered Nurse (Licence: HI RN-104419-0) | |
| 363L00000X Nurse Practitioner (Licence: WA AP.70044606-NP) | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-09-26 |