| NPI | 1104716034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041491890) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-11-26 |