| NPI | 1164138400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3837-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI HI-97900) |
| 163W00000X Registered Nurse (Licence: KY 1141381) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |