| NPI | 1659038040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3566) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: HI RN-45413) |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2023-06-28 |