| NPI | 1215775879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10034038) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: OR 201904484RN) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-10-10 |