| NPI | 1134446552 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4521)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 011021)  | 
| 163WX0800X Registered Nurse, Orthopedic (Licence: PA RN594783)  | |
| Enumeration Date | 2010-04-24 | 
| Last Update Date | 2025-03-07 |