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 | 2024-08-23 |