| NPI | 1255591301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN1848) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R174608) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2015-12-15 |