| NPI | 1871033076 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012032) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP1846192) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1846192) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP1846192) | |
| Enumeration Date | 2017-03-07 | 
| Last Update Date | 2019-08-14 |