| NPI | 1831471267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: HI APRN-3966) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R185233) |
| 363LF0000X Nurse Practitioner Family (Licence: DC RN1011969) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2023-11-14 |