| NPI | 1114536448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28009) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2023-09-15 |