| NPI | 1316510514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI RN-92232) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2023-11-14 |