| NPI | 1003691585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028201) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041.391087) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2026-08-21 |