| NPI | 1164935466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SX0200X Clinical Nurse Specialist Oncology (Licence: NJ 26NJ01234900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 342402) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2022-03-08 |