NPI | 1598203051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00421800) |
Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: NJ 25MP00421800) |
Enumeration Date | 2017-02-05 |
Last Update Date | 2024-01-30 |