NPI | 1255717369 |
---|---|
Former Name | MONICA KALEIANUENUE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 200576) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9404861) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2019-04-27 |