| NPI | 1104221431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-001084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-012333) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2025-02-10 |