| NPI | 1629749163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3359-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-92161) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-02-24 |