| NPI | 1659368678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN3079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN60067) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2021-02-12 |