| NPI | 1952812257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3238) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap10686) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2021-07-20 |