| NPI | 1447929401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 347357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347357) |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2022-03-09 |