| NPI | 1366037285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-5204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 178866) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-10-20 |