| NPI | 1588273114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61086005) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2024-09-13 |