| NPI | 1316905045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN 789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN43876) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-03-20 |