| 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 |