| NPI | 1730630575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-2345) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R190946) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-07-27 |