| NPI | 1952772519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173002) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2023-06-29 |