| NPI | 1992468458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 235156) |
| 363L00000X Nurse Practitioner (Licence: NC F01220259) | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-08-24 |