| NPI | 1063529717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209005389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 277002750) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2025-03-21 |