| NPI | 1851689624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-1080) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: HI RN-62461) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |