| NPI | 1912339730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171663) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2022-04-18 |