| NPI | 1982142097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005820) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-08-15 |