NPI | 1528391232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18784) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1288) |
163W00000X Registered Nurse (Licence: HI RN-68394) | |
Enumeration Date | 2009-09-13 |
Last Update Date | 2013-11-26 |