NPI | 1083680144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI RX84) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 375) |
163W00000X Registered Nurse (Licence: HI RN 43503) | |
163WD0400X Registered Nurse, Diabetes Educator (Licence: HI cert. no. 2071-0327) | |
261QH0100X Clinic/Center, Health Services (Licence: HI APRN 375) | |
Enumeration Date | 2006-02-27 |
Last Update Date | 2011-04-18 |