NPI | 1902532039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3755) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 181416) |
Enumeration Date | 2022-07-29 |
Last Update Date | 2024-04-19 |