| NPI | 1205874146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI A0404453) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-RX 145) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-05-27 |