| NPI | 1811387442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-1859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 73503) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: HI 1859) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2024-05-14 |