| NPI | 1235460965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010516) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2017-03-13 |