| NPI | 1992257984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000106) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-4611) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2025-04-30 |