| NPI | 1932647302 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-2331) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017001798) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 8547) | |
| Enumeration Date | 2017-02-06 | 
| Last Update Date | 2023-01-23 |