| NPI | 1174849905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-85267) |
| 163W00000X Registered Nurse (Licence: HI 85267) | |
| 163W00000X Registered Nurse (Licence: NY 601870) | |
| 163W00000X Registered Nurse (Licence: CA RN95115360) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN2224) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2025-02-05 |