| NPI | 1225462492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22953) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2021-09-24 |