| NPI | 1770251589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2264196) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA RN2264196) |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2023-03-06 |