| NPI | 1922762574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 54970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 842545) |
| 363L00000X Nurse Practitioner (Licence: HI APRN-3428-0) | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-03-29 |