| NPI | 1770950669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60594369) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2023-06-26 |