| NPI | 1255144085 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2316317)  | 
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA RN2316317)  | 
| Enumeration Date | 2025-01-27 | 
| Last Update Date | 2025-02-20 |