| NPI | 1225278138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP18682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1251) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-RX296) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2016-09-02 |