| NPI | 1083474092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-4546-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 68803) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-04-18 |