| NPI | 1922644988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN3947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012409) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-06-14 |