| NPI | 1538755400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 2020014414) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-04-11 |