| NPI | 1699774240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1443) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA TP000371A) |
| 163W00000X Registered Nurse (Licence: HI RN-21059) | |
| 163W00000X Registered Nurse (Licence: PA RN182340L) | |
| Enumeration Date | 2005-07-16 |
| Last Update Date | 2013-04-23 |