NPI | 1972551083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN202) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN35330) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-09-09 |