| NPI | 1124428206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4659) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991288-NP) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-07-01 |