| NPI | 1194163907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN- 2068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 21396) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-09-02 |