| NPI | 1831810571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN269396) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA 269396) |
| 207Q00000X Family Medicine (Licence: MA 269396) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-08-01 |