| NPI | 1467013342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2313112) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA RN2313112) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2020-03-10 |