| NPI | 1740838150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN4963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN84486) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2025-05-22 |