NPI | 1639238652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3836) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007292) |
363LF0000X Nurse Practitioner, Family (Licence: AK NURU1458) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: HI APRN-3836) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AK NURU1458) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2023-01-22 |