| NPI | 1821386095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI RX-338) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2013-10-09 |