| NPI | 1851480701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN 1073) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP 14584) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-06-02 |