| NPI | 1669462198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN1245) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R136333) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2014-08-13 |