| NPI | 1164092516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN-4071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-81142) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-06-02 |