| NPI | 1992269534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-63490) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-06-23 |