| NPI | 1891395034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN-3068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI ARPN-3068) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2022-07-27 |