| NPI | 1376520262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-1248) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 166268) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2021-09-24 |