| NPI | 1154495869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 12054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI RN42500) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 516077) | |
| 363LF0000X Nurse Practitioner Family (Licence: HI APRN589) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-05-04 |