| NPI | 1205438041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3503) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60577454) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61153353) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2023-07-25 |