| NPI | 1487945317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-1346) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP8329) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2021-05-28 |