| NPI | 1801130729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-1987) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI 57318) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2021-09-27 |