| NPI | 1932959210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-4459) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-99852) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-30 |