| NPI | 1124437868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3425) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95009079) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.011126) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2022-04-19 |