| NPI | 1003707647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0200X Registered Nurse Oncology (Licence: MA RN2386214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2386214) |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-09-20 |