| NPI | 1245463116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 1452) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 6147) |
| 163W00000X Registered Nurse (Licence: HI 71639) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2019-12-12 |