| NPI | 1992875710 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300142)  | 
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: NY 242881)  | 
| Enumeration Date | 2006-11-09 | 
| Last Update Date | 2025-09-11 |