| NPI | 1669202297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 75521) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |