| NPI | 1124003819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN26797) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP 8842) |
| 363L00000X Nurse Practitioner (Licence: HI APRN 809) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |