| NPI | 1124766506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025125) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2026-04-02 |