| NPI | 1871261529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN3062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11014940) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-11-04 |