| NPI | 1942965843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 61233209) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2023-02-20 |