| NPI | 1629279716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN 260) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: HI RN 23131) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-09 |