| NPI | 1720688815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 620840) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2026-07-20 |