| NPI | 1174872956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-2363) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2263853) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2020-08-04 |