| NPI | 1942639398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2684) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: HI 70-LD) |
| 133V00000X Dietitian, Registered (Licence: HI 1038713) | |
| 163W00000X Registered Nurse (Licence: HI RN - 73378) | |
| 363L00000X Nurse Practitioner (Licence: HI APRN-2684) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2020-02-07 |