NPI | 1114213535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3968) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20861) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2023-09-08 |