| NPI | 1639174626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 301861) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301861) |
| 364SR0400X Clinical Nurse Specialist, Rehabilitation (Licence: NY 416257) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-05-13 |