Our Cancer Care Team includes physicians, oncology-certified nurses, certified medical assistants and technologists. Other professionals such as dietitians, physical therapists, home health providers, spiritual practitioners and hospice professionals are incorporated into patient care.

Elizabeth Bigger, MD

Elizabeth Bigger, MD earned her Doctorate of Medicine at the Duke University School of Medicine in Durham, N.C. and her Bachelor of Science in Molecular, Cellular and Developmental Biology at Yale University in New Haven, Conn. She completed both her Internal Medicine internship and residency at the Vanderbilt University Medical Center in Nashville, Tenn. and her Hematology/Oncology fellowship at the Duke University Medical Center in Durham, N.C. Dr. Bigger is a board-certified member of the American Board of Internal Medicine in both Hematology and Oncology.

Karine Darbinyan, MD

Karine Darbinyan, MD, earned her medical degree at Russian National Research Medical University (RNRMU) in Moscow, Russia. She completed her internal medicine residencies at RNRMU in Moscow and Jacobi Medical Center in the Bronx, N.Y. and her fellowship in hematology and oncology at Montefiore Medical Center in the Bronx, N.Y. Dr. Darbinyan is a member of the American Society of Clinical Oncology and the Multinational Association of Supportive Care in Cancer. She is a general hematologist oncologist who is ready for any new challenge, but is particularly interested in lung, head and neck cancer as well as supportive cancer care.

Melissa Cotner, DNP

Melissa Cotner, DNP earned her Doctor of Nursing Practice in Adult-Gerontology Acute Care at the University of Utah in Salt Lake City, UT. She received her Bachelor of Science in Nursing from Westminster College in Salt Lake City, UT. Melissa is board certified as an Advanced Practice Provider through the American Nurses Credentialing Center.

Jamie Wilcox, RN, OCN, DNP FNP

Jamie Wilcox, RN, OCN, DNP FNP received her Doctor of Nurse Practice- FNP from Montana State University in Bozeman. She received her Bachelor of Science in Nursing from the University of Iowa in Iowa City, Iowa. After undergraduate school, Jamie served 5 years in the US Army Nurse Corps. She is board certified as a Family Nurse Practitioner through the American Academy of Nurse Practitioners.

Prior to joining St. Peter’s Cancer Care as a nurse practitioner, Jamie worked as a registered nurse for over fifteen years and held various nursing roles at St. Peter’s, including radiation oncology nurse, oncology nurse navigator and oncology infusion nurse. 

Andrew Cupino, MD

Andrew Cupino, MD is a Radiation Oncologist. He came to Helena from the University of Virginia Health System in Charlottesville, VA, where he completed his Radiation Oncology Residency.

Dr. Cupino earned his Medical Degree at Jefferson Medical College in Philadelphia, PA, and Bachelor of Science degrees in Bioengineering and Mathematics from Walla Walla College in College Place, WA. He is Board Certified by The American Board of Radiology in Radiation Oncology.

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Lora Holland, BAS, RT (R)(T)

Lead Radiation Therapist

Lora Holland BAS, RT (R)(T) earned her Associates of Arts degree in Radiation Therapy and her Bachelor of Applied Science Radiation and Imaging Management at Bellevue College in Bellevue, Wash. 

She is also a graduate of the Saint Patrick's School of Radiologic Technology Program in Missoula. Lora is a certified member of the American Registry of Radiation Therapist and Radiologic Technologist and the Montana Board of Radiologic Technologists.

Pam Sasser

Pam Sasser, RN, ONN-CG

Nurse Navigator

Pam Sasser, RN, ONN-CG earned her Bachelor of Arts in Nursing at Carroll College in Helena and is a certified member of the Academy of Oncology Nurse & Patient Navigators. Before getting her degree, Pam served in the US Navy for seven years as a hospital corpsman. 

In her free time, Pam enjoys attending Griz games, floating Montana rivers, fly fishing, hiking and traveling. Pam and her husband met in the Navy and have three children and three fur babies.