NPI | 1376972174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LS0200X Nurse Practitioner School (Licence: HI APRN-3685) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95000092) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2022-07-14 |