| NPI | 1487316246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3363) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI RN-92220) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2022-03-16 |