| NPI | 1063419588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC3500X Registered Nurse Cardiac Rehabilitation (Licence: NY 523059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F334575-1) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-03-07 |