NPI | 1982211769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-3049) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI APRN-3049) |
Enumeration Date | 2020-09-25 |
Last Update Date | 2023-02-13 |