| NPI | 1992988851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007568) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-08-11 |