| NPI | 1992470710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN-1267) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: HI RN-67616) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: HI RN-67616) | |
| 171000000X Military Health Care Provider (Licence: HI APRN-1267) | |
| 163WC0400X Registered Nurse, Case Management (Licence: HI RN-67616) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |