| NPI | 1962886200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN4635) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0991834-NP) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2025-01-31 |