NPI | 1982275475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3878) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-108112) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2024-08-13 |