| NPI | 1902881410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 038052922) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-01-20 |