| NPI | 1952723843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID N-27582) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1414A) | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2022-04-19 |