| NPI | 1154284057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209034154) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 209.034154) |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2026-02-03 |