NPI | 1063907772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI aprn-2663) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN2663) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2023-09-28 |