| NPI | 1376038505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018948) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-05-01 |