| NPI | 1174776116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-RX 504) |
| 163W00000X Registered Nurse (Licence: HI 68452) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2013-02-18 |