| NPI | 1093480246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-92233) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-10-18 |