| NPI | 1992210496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 60791088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-2366) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2021-07-27 |