| NPI | 1891920567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN 17) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: HI AMD 59) |
| Enumeration Date | 2009-05-23 |
| Last Update Date | 2011-10-26 |