| NPI | 1982366787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2275983) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA RN2275983) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-11-19 |