| NPI | 1760367098 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202005596RN) | 
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: WA RN61684446) | 
| Enumeration Date | 2025-08-06 | 
| Last Update Date | 2025-08-06 |