| 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 |