| NPI | 1063733715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN2136) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP19808) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-07-31 |