| NPI | 1558401141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-764) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-09-11 |