| NPI | 1902358641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN2439) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5009056) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC M7L1Q7) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2019-09-27 |