| NPI | 1326038027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN 336) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN336) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN 336) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-01-29 |