| NPI | 1588763023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN 25764) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN 231) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |