| NPI | 1205021391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN 504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN 45173) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |