| NPI | 1609162981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN 1589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4080) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-02-25 |