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 |