| NPI | 1568602845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: HI APRN-1158) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: HI APRN-1158) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2024-07-15 |