| NPI | 1902471485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016521) |
| 163W00000X Registered Nurse (Licence: HI RN-101796) | |
| 163W00000X Registered Nurse (Licence: CA 847565) | |
| 207Q00000X Family Medicine (Licence: HI APRN3326) | |
| 207Q00000X Family Medicine (Licence: CA 95016521) | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2025-10-10 |