| NPI | 1003445099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 041.369776) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025877) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-08-01 |