| NPI | 1952380891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN143304) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist Oncology (Licence: MA 143304) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2021-01-08 |