| 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 |