| 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 |