| NPI | 1891320800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28059) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-01-02 |