| NPI | 1336416155 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SX0204X Clinical Nurse Specialist, Oncology, Pediatrics (Licence: NJ 26NJ00339900)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00339900)  | 
| Enumeration Date | 2011-11-22 | 
| Last Update Date | 2024-07-31 |