| NPI | 1508256512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19490) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2018-05-17 |