| NPI | 1720562994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-2557) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: HI 53007) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2019-09-29 |