| NPI | 1699489963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2361971) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA RN2361971) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2025-09-12 |