| NPI | 1205175064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN 67521) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 1547) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2022-07-21 |