| NPI | 1790895506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN724) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: HI APRN-724) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-06-04 |