| NPI | 1992840979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850149NP) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-06-04 |