| NPI | 1851630099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-59) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-26020) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN-59) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2014-04-29 |