| NPI | 1033669817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024036143) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2025-09-12 |