NPI | 1316405004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI APRN-2400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-49722) |
Enumeration Date | 2019-03-12 |
Last Update Date | 2022-08-26 |