| NPI | 1174221816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027268) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 2022151847) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2026-05-05 |