| NPI | 1831139633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-3665-0) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 16232) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-05-26 |