| NPI | 1679913081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN 18317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 235) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2013-06-29 |